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Complejo Hospitalario San Millán-San Pedro</span>" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. A. Moreno Ortigosa. Unidad de Cuidados Intensivos. Complejo Hospitalario San Millán-San Pedro. Autonomía de La Rioja, 3. 26004 Logroño. La Rioja." ] ] ] 1 => array:3 [ "autoresLista" => "Enrique Ramalle-Gómara, Manuel Quintana Díaz" "autores" => array:2 [ 0 => array:3 [ "nombre" => "Enrique" "apellidos" => "Ramalle-Gómara" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] ] ] 1 => array:3 [ "nombre" => "Manuel" "apellidos" => "Quintana Díaz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Servicio de Epidemiología y Promoción de la Salud. Gobierno de la Rioja. Unidad de Investigación de La Rioja</span>" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] 1 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Unidad de Cuidados Intensivos. Hospital General de Soria</span>" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Efficacy of an intervention in smoking cessation in patients with miocardial infarction" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-02-25" "fechaAceptado" => "1999-07-01" "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec220526" "palabras" => array:3 [ 0 => "Tabaquismo" 1 => "Cesación del hábito tabáquico" 2 => "Infarto de miocardio" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este ensayo clínicoaleatorizado es evaluar la eficacia de una intervenciónestructurada basada en el consejo médicoen pacientes con infarto agudo de miocardioingresados en una unidad de cuidados intensivos (UCI), frente al consejo antitabaco habitual.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron 90 pacientesque fueron asignados de forma aleatoria para recibirla intervención específica (grupo intervención)o la intervención habitual (grupo control). El consejomédico se hizo durante el ingreso en UCI y ala segunda, tercera y cuarta semanas. Un año mástarde se determinaba el estado de no fumador.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Al año, 26 sujetos del grupo intervención(60,5%) y 31 sujetos del grupo control(66,0%) dejaron de fumar (riesgo relativo [RR]0,88; intervalo de confianza del 95% [IC 95%RR] 0,57-1,37).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El porcentaje de sujetos que dejande fumar después de un infarto de miocardioes alto. La intervención basada en el consejomédico parece no ser efectiva para reducir elnúmero de fumadores al cabo de un año.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to evaluatethe efficacy of an structured interventionbased on a medical advice versus to the ordinaryanti-tobacco advice in patients with miocardialinfarction who are attended in an IntensiveCare Unit (ICU).</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">90 patients were randomlyselected to receive either the specific intervention(intervention group) or the ordinary advice(control group). The medical advice was givenduring the ICU hospitalization and during the second,the third and the fourth week. One year laterthe smoking habit was evaluated.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">After one year 26 patients of the interventiongroup and 31 patients of the controlgroup had stopped smoking (RR = 0,88 [CI95% RR] 0.57 to 1.37).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The percentage of patients who stopsmoking after a miocardial infarction is high. Thestructured medical counselling was not effectiveto reduce the number of smokers at one year.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Eficacia de una intervención para dejar de fumar en pacientes con infarto de miocardio
Efficacy of an intervention in smoking cessation in patients with miocardial infarction
Alfonso Moreno Ortigosa
, Francisco Javier Ochoa Gómez, Iñaki Saralegui Reta, María Victoria Fernández Esteban
Autor para correspondencia
amoreno@hsanmillan.es
Correspondencia: Dr. A. Moreno Ortigosa. Unidad de Cuidados Intensivos. Complejo Hospitalario San Millán-San Pedro. Autonomía de La Rioja, 3. 26004 Logroño. La Rioja.
Correspondencia: Dr. A. Moreno Ortigosa. Unidad de Cuidados Intensivos. Complejo Hospitalario San Millán-San Pedro. Autonomía de La Rioja, 3. 26004 Logroño. La Rioja.
Unidad de Cuidados Intensivos. Complejo Hospitalario San Millán-San Pedro